Individual
MISS DEEPA JOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
535 EAST 70TH ST, NEW YORK, NY 10021
(212) 606-1000
Mailing address
1 ROLLING RIDGE RD, NEW CITY, NY 10956-6931
(845) 638-0063
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
30 305733
NY
363LG0600X
Gerontology Nurse Practitioner
34 340816
NY
Other
Enumeration date
11/07/2011
Last updated
04/19/2016
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